Application of mobile telemedicine in patients with chronic functional constipation

doi:10.3877/cma.j.issn.2095-2015.2026.04.012

Abstract

Abstract:

Objective

To evaluate the effectiveness of mobile telemedicine interventions for patients with functional constipation (FC) and to examine its impact on constipation symptoms, mental health, quality of life, and patient satisfaction.

Methods

This study was a prospective, randomized controlled trial. A total of 150 FC patients from the outpatient department of Beijing Rehabilitation Hospital Affiliated to Capital Medical University were selected between February 2022 and February 2024. They were randomly divided into an intervention group, which received personalized remote management through a mobile telemedicine platform, and a control group, which received standard outpatient treatment according to the random number method, each consisting of 75 cases. The study assessed changes in constipation symptom scores, the Self-Rating Anxiety Scale (SAS), Short Form 36 Health Survey (SF-36), as well as improvements and patient satisfaction after the intervention.

Results

After the intervention, the intervention group showed significantly lower scores than the control group in areas such as bowel movement frequency, independent defecation, sense of urgency, and defecation time (P<0.05). The intervention group's SAS score was 32.5±9.3, significantly lower than the control group's score of 37.8±10.4 (P<0.05). The scores in physical function, social function, role function, and emotional health were significantly higher in the intervention group than those in the control group (P<0.05). The intervention group experienced shorter time to urge and to complete defecation, and the rate of effective outcomes was significantly higher (P<0.05). Regarding satisfaction, the intervention group rated platform usability, treatment effectiveness, personalized services, and technical support significantly higher than the control group (P<0.05).

Conclusion

Mobile telemedicine interventions demonstrate significant efficacy in remote management for patients with FC. Personalized interventions effectively improve constipation symptoms, mental health, quality of life, and overall patient satisfaction.

Key words: Functional constipation, Mobile telemedicine, Remote management, Mental health, Quality of life, Patient satisfaction

Xiao Feng, Ye Wang, Ting Yuan, Wei Li, Mei Xue. Application of mobile telemedicine in patients with chronic functional constipation[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2026, 16(04): 353-360.

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Figures/Tables 6

References 26

[1]	戴宁. 功能性便秘的慢病管理[J]. 中国中西医结合消化杂志, 2023, 31(11): 832-835.
[2]	Drossman DA, Tack J, Ford AC, et al. Neuromodulators for Functional Gastrointestinal Disorders(Disorders of Gut-Brain Interaction): A Rome Foundation Working Team Report[J]. Gastroenterology, 2018, 154(4): 1140-1171. e1.
[3]	Zeng XL, Zhu LJ, Yang XD. Exploration of the complex origins of primary constipation[J]. World J Clin Cases, 2024, 12(24): 5476-5482.
[4]	杨艳丽, 隋楠. 功能性便秘与焦虑障碍共病机制及治疗策略研究进展[J]. 辽宁中医药大学学报, 2025, 12: 155-161.
[5]	蒲倩薇, 万于, 刘建平, 等. 功能性便秘的中医治疗研究进展[J]. 医学综述, 2024, 30(7): 869-874.
[6]	任桂英, 胡婷婷, 孙妙, 等. 我国远程医疗发展瓶颈及突破策略[J]. 卫生软科学, 2024, 38(3): 21-24.
[7]	余新艳, 赵珺, 赵晓晔, 等. 移动智慧医疗在基层老年慢性病患者心血管病防控中的应用研究[J]. 中国全科医学, 2023, 26(33): 4167-4172.
[8]	Mugisha M, Ntakirutimana I, Kayiranga D, et al. Muzima Mobile Application for Screening Hypertension and Diabetes: A User Experience of the App Among Community Health Workers in Rwanda[J]. Stud Health Technol Inform, 2024, 316: 459-463.
[9]	Yap HJ, Lim JJJ, Tan SD, et al. Effectiveness of digital health interventions on adherence and control of hypertension: a systematic review and meta-analysis[J]. J Hypertens, 2024, 42(9): 1490-1504.
[10]	Hu W, Ying X, Sun J, et al. Self-administered acupressure for chronic severe functional constipation: A study protocol for a randomized controlled trial[J]. Medicine(Baltimore), 2021, 100(25): e26349.
[11]	中国医师协会肛肠医师分会, 赵克, 钱群, 等. 便秘外科诊治指南(2025版)[J]. 中国普通外科杂志, 2025(10): 2039-2061.
[12]	方俊, 徐红玉, 邓跃彦, 等. 基于SVM的EPC项目安全风险评价研究[J]. 武汉理工大学学报:信息与管理工程版, 2023, 45(2): 218-223.
[13]	Xiao Q, Cao Y, Wu S, et al. Can positive emotional writing improve the emotional health level of international medical students? Evidence from a randomized controlled trial[J]. BMC Med Educ, 2024, 24(1): 1248.
[14]	Sokalski V, Lau K, Cairns T, et al. Impact of the Covid19 pandemic on health-related quality of life in patients with Fabry disease- implications for future care of patients with rare diseases[J]. Mol Genet Metab Rep, 2024, 41: 101150.
[15]	齐有环, 刘佳, 李静, 等. 医联体模式下整合多学科诊疗干预对老年脑梗死患者排便障碍功能恢复和生活质量的影响[J]. 空军航空医学, 2024, 41(5): 474-477.
[16]	向能君, 张丹, 吉莉, 等. 功能性便秘患者焦虑抑郁状态形成的危险因素[J]. 医学综述, 2023, 29(11): 2176-2181.
[17]	俞汀, 朱锋, 林琳, 等. 合并上消化道症状对功能性便秘患者焦虑、抑郁及生活质量的影响[J]. 中华全科医学, 2022, 20(10): 1641-1644.
[18]	Jiang Y, Tang Y, Lin L. Clinical Characteristics of Different Primary Constipation Subtypes in a Chinese Population[J]. J Clin Gastroenterol, 2020, 54(7): 626-632.
[19]	van der Schoot A, Drysdale C, Whelan K, et al. The Effect of Fiber Supplementation on Chronic Constipation in Adults: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials[J]. Am J Clin Nutr, 2022, 116(4): 953-969.
[20]	Ota T, Kuratani S, Masaki H, et al. Impact of chronic constipation symptoms on work productivity and daily activity: A large-scale internet survey[J]. JGH Open, 2024, 8(11): e70042.
[21]	徐一慧. 中老年功能性便秘患者相关症状与生活质量的相关性研究[J/OL]. 现代医学与健康研究(电子版), 2020, 4(2): 190-192.
[22]	王继航, 赵施皓, 李开亮, 等. 远程医疗在高血压病管理中的研究进展[J]. 心血管病学进展, 2019, 40(9): 3.
[23]	黄秀巧, 陆敏婷, 黄洁微, 等. 远程医疗技术在糖尿病高危足管理中的应用进展[J]. 海南医学, 2024, 35(4): 604-608.
[24]	孔晓晅, 曹丰, 范利. 远程医疗及监测在心血管疾病诊疗的应用研究进展[J]. 中华保健医学杂志, 2020, 22(6): 663-665.
[25]	袁晓丹, 郑仁东, 高珍秀, 等. 以个体化行为干预为核心的移动医疗APP院外管理对2型糖尿病患者血糖及用药依从性的影响[J]. 中国糖尿病杂志, 2020, 28(11): 6.
[26]	Gentili A, Failla G, Melnyk A, et al. The cost-effectiveness of digital health interventions: A systematic review of the literature[J]. Front Public Health, 2022, 10: 787135.

评分项目	评分标准	评分
自主排便	有排便欲望和能力，无需外部帮助	0
	需要借助药物、手助或灌肠来排便	3
便意	有便意	0
	无便意	1
自行排便频率	每1~2日排便一次	0
	每3~4日排便一次	1
	每5~6日排便一次	2
	每6日以上排便一次	3
	无法自行排便	4
排便费力程度	排便自然，无需努力	0
	需用力排便	1
	努力挣方能排便	2
每次排便时间	1~10 min	0
	11~20 min	1
	21~30 min	2
	超过30 min	3
便质	便硬块散在，难以排出	3
	便硬块成条，排出困难	2
	便成条有裂纹，稍有困难	1
	便成条光软，排便正常	0
腹胀、腹痛、排便不尽感等症状	(腹胀、腹痛、排便不尽感、肛门坠胀感、肛门梗阻感、排气不畅感)
	无症状	0
	轻微症状	1
	明显症状	2
	难忍症状	3

评分项目	评分标准	评分
自主排便	有排便欲望和能力，无需外部帮助	0
	需要借助药物、手助或灌肠来排便	3
便意	有便意	0
	无便意	1
自行排便频率	每1~2日排便一次	0
	每3~4日排便一次	1
	每5~6日排便一次	2
	每6日以上排便一次	3
	无法自行排便	4
排便费力程度	排便自然，无需努力	0
	需用力排便	1
	努力挣方能排便	2
每次排便时间	1~10 min	0
	11~20 min	1
	21~30 min	2
	超过30 min	3
便质	便硬块散在，难以排出	3
	便硬块成条，排出困难	2
	便成条有裂纹，稍有困难	1
	便成条光软，排便正常	0
腹胀、腹痛、排便不尽感等症状	(腹胀、腹痛、排便不尽感、肛门坠胀感、肛门梗阻感、排气不畅感)
	无症状	0
	轻微症状	1
	明显症状	2
	难忍症状	3

分类	排便频率	排便时间	描述
正常	每天1次或每隔1~2天1次	不超过15 min	排便规律，顺畅，从产生便意到排便结束的时间不超过15 min
显效	每天1次或每隔1~2天1次	15~20 min	偶尔感到排便不完全，排便时间为15~20 min
无效	每2天或更长时间才排便1次	超过30 min	排便困难，伴有不适，排便时间超过30 min

分类	排便频率	排便时间	描述
正常	每天1次或每隔1~2天1次	不超过15 min	排便规律，顺畅，从产生便意到排便结束的时间不超过15 min
显效	每天1次或每隔1~2天1次	15~20 min	偶尔感到排便不完全，排便时间为15~20 min
无效	每2天或更长时间才排便1次	超过30 min	排便困难，伴有不适，排便时间超过30 min

项目	对照组(n=75例)	干预组(n=75例)	χ²/t值	P值
性别[例(%)]
男	36 (48.0)	35 (46.7)	0.02	0.89
女	39 (52.0)	40 (53.3)
年龄(岁,±s)	58.3±9.4	59.2±8.7	0.37	0.71
职业[例(%)]
农民/工人	30 (40.0)	32 (42.7)	0.15	0.98
公务员	20 (26.7)	18 (24.0)
退休或无业人员	25 (33.3)	25 (33.3)
文化程度[例(%)]
初中及以下	28 (37.3)	29 (38.7)	0.03	0.97
高中或专科	30 (40.0)	28 (37.3)
本科及以上	17 (22.7)	18 (24.0)
婚姻状况[例(%)]
已婚	63 (84.0)	62 (82.7)	0.05	0.83
未婚	12 (16.0)	13 (17.3)
既往病史[例(%)]
肠道手术史	10 (13.3)	11 (14.7)	0.05	0.82
糖尿病	15 (20.0)	16 (21.3)	0.04	0.83
高血压	22 (29.3)	23 (30.7)	0.03	0.87
病程(年,±s)	5.8±2.1	6.0±2.3	0.56	0.58

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